Evidence map›Paper›PMID 29343585›Full record

Observational studyPediatrics2018

Rhinovirus in Febrile Infants and Risk of Bacterial Infection.

Anne J Blaschke, E Kent Korgenski, Jacob Wilkes, Angela P Presson, Emily A Thorell, Andrew T Pavia, Elizabeth D Knackstedt, Carolyn Reynolds, Jeff E Schunk, Judy A Daly and 1 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  18. Febrile Child and Fever without Focus.Iranian journal of medical sciences · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Anne J BlaschkeDepartments of Pediatrics, anne.blaschke@hsc.utah.edu.
E Kent KorgenskiDepartments of Pediatrics.
Jacob WilkesPediatric Clinical Program, Intermountain Healthcare, Salt Lake City, Utah.
Angela P PressonInternal Medicine, and.
Emily A ThorellDepartments of Pediatrics.
Andrew T PaviaDepartments of Pediatrics.
Elizabeth D KnackstedtDepartments of Pediatrics.
Carolyn ReynoldsPediatric Clinical Program, Intermountain Healthcare, Salt Lake City, Utah.
Jeff E SchunkDepartments of Pediatrics.
Judy A DalyPathology, School of Medicine, University of Utah, Salt Lake City, Utah.
Carrie L ByingtonDepartments of Pediatrics.
Pediatrics and Genetics · USIntermountain Healthcare · USPrimary Children's Hospital · US

Funding

University of Utah Center for Clinical and Translational ScienceUL1TR001067 · NCATS · UNIVERSITY OF UTAH · PI DERE, WILLARD H., HESS, RACHEL · 2013 to 2017
$19.8M
Decision Support for Evaluation of the Febrile InfantK24HD047249 · NICHD · UNIVERSITY OF UTAH · PI BYINGTON, CARRIE L. · 2005 to 2009
$617k
NCATS NIH HHS UL1 TR001067NICHD NIH HHS K24 HD047249
6 · The paper itself

Abstract

backgroundFebrile infants with viral respiratory infections have a reduced risk of bacterial infection compared with virus-negative infants. The risk of concomitant bacterial infection in febrile infants positive for human rhinovirus (HRV) by polymerase chain reaction (PCR) is unknown.

methodsInfants 1-90 days old managed using the care process model for well-appearing febrile infants and with respiratory viral testing by PCR (RVPCR) in the emergency department or inpatient setting of 22 hospitals in the Intermountain Healthcare system from 2007-2016 were identified. Relative risk (RR) of bacterial infection was calculated for infants with HRV, non-HRV viruses, or no virus detected.

resultsOf 10 964 febrile infants identified, 4037 (37%) had RVPCR. Of these, 2212 (55%) were positive for a respiratory virus; 1392 (35%) for HRV alone. Bacterial infection was identified in 9.5%. Febrile infants with HRV detected were more likely to have bacterial infection than those with non-HRV viruses (7.8% vs 3.7%;

conclusionsHRV is common in febrile infants. Detection did not alter risk of concomitant urinary tract infection at any age or risk of IBI in infants 1-28 days old. HRV detection may be relevant in considering risk of IBI for infants 29-90 days of age.

Indexed as

Bacterial InfectionsFemaleFever of Unknown OriginHumansInfantInfant, NewbornMalePicornaviridae InfectionsRetrospective StudiesRhinovirus

Identifiers

PMID29343585
PMCPMC5810600
OpenAlexW2792266876

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.